Application For Tax Abatement -Harris County, Texas Page 2

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Application for Tax Abatement
-Harris County, Texas-
Prior to any public expression of a decision or any commitment (legal or financial) to the proposed project by applicant, a
completed original of this application, including supporting documentation of competitive siting and narrative impact statement,
must be submitted to Harris County Community and Economic Development Department, Economic Development Division,
8410 Lantern Point Dr., Houston, TX 77054. This application will become part of the Tax Abatement Agreement and any
knowingly false representations will be grounds for terminating the application and/or voiding the agreement. The County will
forward copies to other taxing jurisdictions, as may be required by Texas statute.
PART I - APPLICANT INFORMATION
Application Date _____/______/______
Company Name:
Headquarters Address:
City:
State:
Zip:
Local Address:
Zip:
Annual Sales:
Local Phone Number:
State Incorporation:
Years in Harris County:
Total All Employees Worldwide:
Employees in Texas:
Employees in Harris County at Present:
Attach description of Applicant Company, including brief history, corporate structure, financial statement, & annual report, if incorporated
in what state corporation designated:
__________________________________________________________________________________________
PART II - PROJECT INFORMATION
Location Address:
City:
Zip:
Key Map #
School District:
Legal Description*:
College District:
County:
Tax Acct. Numbers:
NAICS #:
* Attach plat survey, with a metes & bounds description, for project site.
Project Description:
New Construction
Expansion
Attach statement fully explaining project, describe existing site and all proposed improvements, provide “Investment Schedule” detailing
improvements for which abatement is requested.
Section A - Economic Development
Type of Facility:
Manufacturing
Regional Distribution
Regional Service Center
Regional Entertainment
Research & Development
Other Basic Industries
Describe product or service to be provided:
For regional facilities, provide market studies, business plans, or other materials demonstrating that the facility is intended to serve a
.
primary market which lies at least 100 miles outside of Harris County
Section B - Variance
Is the applicant seeking a variance to Guidelines?
Yes
No
If "yes" attach letter requesting and justifying the variance, with supplemental information.
Application - Page 1 of 4

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